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Numerator

Sum of the time (in days) reported across the 50 states to establish an After Action Report (AAR) and Improvement Plan (IP) after an exercise or incident

Denominator

Total number of exercises and incidents across the 50 states

Methodology

The measure represents the average time across all 50 states to establish an AAR and IP after an exercise or incident. The time to “establish” is defined as: Start time: Date exercise or public health emergency operation is completed. Stop time: Date the implementation AAR and IP are submitted for clearance within the public health agency. An AAR and IP are the main products of the evaluation and improvement planning process. The AAR and IP are submitted jointly. The AAR captures observations of an exercise or real incident and makes recommendations for post-exercise or post-incident improvements. The IP identifies specific corrective actions, assigns them to responsible parties, and establishes targets for their completion. The report should include how response operations did and did not meet objectives, recommendations for correcting gaps or weaknesses, and a plan for improving response operations (National Incident Management System, August 2007). CDC/DSLR data are collected annually from 62 awardees, including all 50 states and the District of Columbia. To be consistent with other CDC/DSLR measurement activities, the baseline for the Healthy People 2020 risk communications is based on the average time across the 50 states and does not include the metropolitan statistical areas awardees of Los Angeles County, the City of Chicago, New York City, the District of Columbia or Territorial awardees.